What things are important in assisted living

Living in old age

1. The most important things in a nutshell

Most people want to live in their own four walls as long and as independently as possible. However, three factors can make this difficult, impossible or unattractive:

  • Decreasing mobility with the graduation of walkers, wheelchairs, bedridden.
  • Need for help, often starting in the household, up to the need for care.
  • Loneliness as a result of illness, financial problems, or the death of friends and relatives.

In order to prevent these problems or to defuse them, the living space in old age should be suitable for the elderly and barrier-free. In addition, more and more offers for living in old age are developing: from assisted living to senior citizens' shared apartments to nursing homes - all in combination with a wide variety of care and service offers.

2. Senior-friendly building and living

Many apartments / houses are not equipped for the elderly. The most common problem areas are:

  • Risk of accident due to tripping hazards, steps, lack of lighting, slippery floor coverings, lack of opportunities to hold on.
  • Barriers For wheelchairs and rollators such as thresholds, steps, stairs, narrow doors, low tables (cannot be driven under) and inaccessibility of cupboards, work surfaces, washing facilities and toilets.

Those affected who want to check whether they are living in an age-appropriate manner can download a checklist from the Federal Ministry for Family, Seniors, Women and Youth at www.serviceportal-zuhause-im-alter.de> Living> Basic knowledge of barrier-free living.

2.1. Practical tips on financing

  • The KfW Group regularly launches programs to buy real estate or to make renovations suitable for the elderly or disabled These are usually low-interest loans that can be applied for through your own house bank and are also paid out in this way. Information at the house bank or at www.kfw.de> enter the search term above.
  • At www.foerderdatenbank.de, the Federal Ministry for Economic Affairs and Energy offers the possibility of looking for state subsidies and EU subsidies.

2.2. Who can help?

Advice is provided by housing advice centers, which can be found in almost every major city.

3. Types of living in old age

The - still most common - course is that a patient can no longer live or be cared for in the previous apartment and then "has" to go to the nursing home. The time pressure (sometimes also a lack of information) is often responsible for the fact that other living and care alternatives cannot be considered. However, if you find out in good time, you have many options today to design living in old age. In principle there are four options:

  • Single apartment: Your own previous apartment and support from outside.
  • Assisted living: Your own apartment with organized assistance.
  • Senior living community: own room, shared use of bathroom, kitchen and living room.
  • Retirement home, nursing home.

3.1. Single apartment

If you want to continue living in your previous apartment, you can, for example, be supported by the following aids:

The costs are usually covered by long-term care insurance or have to be paid for in full or in part, see Home care long-term care insurance. In certain cases, the social welfare provider may also be responsible, see Home care social welfare for more information.

3.1.1. Remodeling of living spaces: improvement of the living environment

A special aspect is the elderly-friendly renovation of your own apartment, e.g. widening doors, installing a stair lift or installing a wheelchair-accessible shower. The nursing care fund provides a subsidy of up to € 4,000 for this. One of the prerequisites is that the applicant is classified as in need of care and has a degree of care. Details can be found under Improvement of the living environment.

3.2. Assisted living

With assisted living you have your own apartment, usually in corresponding residential complexes. You can live independently in the apartment, there are leisure activities and everything is prepared for the increasing need for help, both structurally and in the form of the necessary services such as food service, domestic help, care services.

Assisted living is partly behind terms such as service living, senior living, senior residences or living plus.

Details under Assisted Living for Seniors.

3.3. Shared apartments and residential groups

Seniors are getting together more and more often to found a senior citizens' flat-sharing community. In shared flats and residential groups, the individual single rooms are grouped around the common rooms such as the kitchen, bathroom, living room and / or dining room, or in a house everyone has their own small apartment and there are additional common rooms.

If several people in need of care who are cared for by a professional carer live together in a shared apartment, then they can put their care benefits claims into a common pool. More information on this under care benefits in kind.

3.3.1. Establishment of a senior citizens' community

The private organization of shared apartments requires a lot of planning, initiative and coordination from those involved. When founding a new flat share, it is important to seek advice on the various options and legal pitfalls. For example, it should be contractually regulated when the residents help each other and when professional services are switched on.

Increasingly there are too Model projects by commercial, municipal and / or non-profit organizations, where in the best case the real estate, service and care skills work hand in hand.

It is easy to find like-minded people through such local projects for alternative forms of living. On the Internet you can find privately organized flat-sharing communities with search terms such as Plus-WG or Wohngemeinschaft 50plus.

3.3.2. Start-up financing for residential groups with outpatient care

The care insurance funds support the establishment of outpatient care groups once per person in need of care with up to € 2,500. A living group receives a maximum of € 10,000. If there are more than 4 people in need of care, the respective long-term care insurance funds will pay proportionally. The application must be submitted within one year of the requirements being met. The start-up financing also applies to those insured under compulsory private long-term care insurance. (§ 45e SGB XI)

The funding is paid out if the establishment of the outpatient care group is proven. The funding ends as soon as the € 30 million that the legislator has earmarked for it has been used up.

3.3.3. Surcharge for residential groups with outpatient care

(§ 38a SGB XI)

People in need of care in residential groups with outpatient care are entitled to a flat-rate surcharge of € 214 per month if they meet the following requirements:

  • At least 2 and a maximum of 11 other people in need of care live together in the outpatient care group in a shared apartment with home care.
  • You receive care allowance, care benefit in kind or a combination benefit.
  • A nurse is active in the living group who carries out organizational, administrative or nursing activities.
  • The purpose of the residential group is the jointly organized nursing care. Domestic regulations must not conflict with this.

The surcharge is primarily used to finance a caregiver responsible for the residential group. The free choice of care and support services may not be legally or actually restricted.

3.3.4. Residential groups for people with dementia

A special form are residential groups for people with dementia. In these supervised residential groups, carers and other carers live in the apartment or are on site around the clock.

Details and links to model projects under Dementia> Living.

3.4. Retirement home, nursing home

What is colloquially referred to as an old people's or nursing home is called "full inpatient care" under social law (Section 43 SGB XI). Here the person in need of care is completely cared for and cared for. Details under full inpatient care.

4. Concept and carrier

The transitions between all types of living are fluid and there are more and more organizations offering different types of living on one site or in a residential complex.

The sponsorship now also often reflects that a lot is happening in this area. Traditionally, it is the municipalities, municipal housing construction companies or large welfare organizations that develop projects. But private property developers have also discovered a market here and are sometimes cooperating with care services or social institutions. In some cases, independent companies are set up for these collaborations.

Whether interested party, (potential) employee or possible partner, you should always question

  • who is behind it as a sponsor and / or sponsor,
  • on what concept the project is based and
  • whether the implementation in practice corresponds to the concept (paper).

In addition, there are many private initiatives, especially for residential communities and house communities. When starting a new flat share or entering an existing flat share, it is important to seek advice on the various options and to put important things in writing. Here, too, the financing, concept and everyday practice should be clearly regulated. A central question is, for example, when the residents help each other and when professional services are switched on.

5. Service and maintenance

The range of services and their connection to the respective facility are just as diverse as the concepts and providers. The most important offer is the nursing service: it can be directly in a house, is possibly even a carrier or is "only" involved in a contract. Further additional offers are e.g. meal service, domestic help, massage, physiotherapy, foot care, swimming pool, sauna, wellness oasis, doctor in the house, driving services, social counseling, legal assistance, visiting services, readers, shareholders, creative courses, events (concerts, readings, exhibitions, theater) , Cafe and library.

Much of these offers are now also available in well-run retirement homes; some of the offers are also open to external visitors, which in turn promotes integration and communication.

6. Model facilities and examples

Here are some links to exemplary facilities and model projects:

  • www.baumodelle-bmfsfj.de
    Information database of the Federal Ministry for Family, Senior Citizens, Women and Youth on building model projects for the elderly and the disabled.
  • www.wohnen-alter-bayern.de
    The website of the Bavarian coordination office "Living in old age" gives an overview of the types of living and many links to facilities that help and advise.
  • www.neue-wohnformen.de
    A website that brings together those interested in new forms of living in old age and also provides a lot of information about it.
  • www.fgw-ev.de
    The website of the "Forum for Community Living" offers information as well as contacts to planned and implemented projects.
  • www.stiftung-schoenholzer-heide.de
    The Schönholzer Heide project (Berlin) offers various forms of living in a park area, including assisted living, living groups for dementia and geriatric psychiatric day care.
  • www.bremer-heimstiftung.de
    Self-presentation of a provider of various types of housing in Bremen with an informative range.

7. Related links

Housing advice

Full inpatient care

domestic care

Living environment improvement

Home emergency systems

Assisted living for seniors

Dementia> Housing

Housing benefit